Raw X12 — CIN VW85280X

ISA*00*          *00*          *ZZ*00ND           *ZZ*EMEDNYREL      *260812*0716*|*00501*519019030*1*P*:~GS*HS*00ND*EMEDNYREL*20260812*0716*019030*X*005010X279A1~ST*270*9030*005010X279A1~BHT*0022*13*202608120716000001*20260812*0716~HL*1**20*1~NM1*PR*2*NYSDOH*****PI*EMEDNY~HL*2*1*21*1~NM1*1P*2*MEDICAID PLANNING GROUP CORP*****SV*08046628~PRV*PE*PXC*251B00000X~HL*3*2*22*0~TRN*1*202608120716000001*00000000ND~NM1*IL*1******MI*VW85280X~EQ*30~DTP*291*D8*20260812~SE*13*9030~GE*1*019030~IEA*1*519019030~

ISA*00*          *00*          *ZZ*EMEDNYREL      *ZZ*00ND           *260812*0316*^*00501*956910352*0*P*|~GS*FA*EMEDNYREL*00ND*20260812*0316*956910352*X*005010X231A1~ST*999*956910352*005010X231A1~AK1*HS*019030*005010X279A1~AK9*R*1*1*0*6~SE*4*956910352~GE*1*956910352~IEA*1*956910352~